| NPI | 1134327554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: PA MD459811) |
| Additional Taxonomies | 2085R0001X (Licence: SC LL 31002) |
| 2085R0001X (Licence: AZ 45877) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2023-12-19 |